Evidence map›Paper›PMID 32763541›Full record

Trial reportPsychiatry research2020

Residual symptoms of PTSD following Sertraline plus enhanced medication management, Sertraline plus PE, and PE plus placebo.

Jessica C Tripp, Sonya B Norman, H Myra Kim, Margaret R Venners, Brian Martis, Naomi M Simon, Murray B Stein, Carolyn B Allard, Sheila A M Rauch, PROGrESS Study Team

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychiatry research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  3. Cognitive behavioral therapy for insomnia treatment attrition in patients with weekly nightmares.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Trial
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  6. Observational
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  9. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 1 country.

Jessica C TrippVA San Diego Healthcare System, 3350 Villa La Jolla Drive, San Diego, CA 92161, USA; University of California, San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, CA 92037, USA.
Sonya B NormanVA San Diego Healthcare System, 3350 Villa La Jolla Drive, San Diego, CA 92161, USA; University of California, San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, CA 92037, USA; National Center for PTSD, 215 N. Main St., White River Junction, VT 05009, USA; VA Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr., MC116B, San Diego, CA 92161, USA. Electronic address: snorman@health.ucsd.edu.
H Myra KimConsulting for Statistics, Computing and Analytics Research, University of Michigan, 915 E. Washington Street, Ann Arbor, MI 48109, USA.
Margaret R VennersNational Center for PTSD, Dissemination & Training Division, 795 Willow Road, Menlo Park, CA 94025, USA.
Brian MartisVA San Diego Healthcare System, 3350 Villa La Jolla Drive, San Diego, CA 92161, USA; University of California, San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, CA 92037, USA.
Naomi M SimonDepartment of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, Boston, MA, USA; Department of Psychiatry, New York University Grossman School of Medicine, One Park Avenue 8(th) Floor, New York, NY 10016, USA.
Murray B SteinVA San Diego Healthcare System, 3350 Villa La Jolla Drive, San Diego, CA 92161, USA; University of California, San Diego, School of Medicine, 9500 Gilman Drive, La Jolla, CA 92037, USA.
Carolyn B AllardVA San Diego Healthcare System, 3350 Villa La Jolla Drive, San Diego, CA 92161, USA; Alliant International University, 10455 Pomerado Road, San Diego, CA, USA.
Sheila A M RauchMental Health Service Line, Veterans Affairs Atlanta Healthcare System, 1670 Clairmont Rd., GA 30030, USA; Emory University School of Medicine, 12 Executive Park, 3(rd) Floor, Atlanta, GA 30329, USA.
PROGrESS Study Team
University of California, San Diego · USVA San Diego Healthcare System · USAlliant International University · USAtlanta VA Health Care System · USMassachusetts General Hospital · USNational Center for PTSD · USUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although prolonged exposure (PE) and SSRI antidepressants are effective in treating posttraumatic stress disorder (PTSD), previous studies have shown that some symptoms tend to persist. The current study compared sertraline hydrochloride plus enhanced medication management (EMM), PE plus placebo, or PE plus sertraline hydrochloride in the likelihood of each individual PTSD symptom persisting in veterans with a PTSD diagnosis. We compared the likelihood of individual PTSD symptoms persisting in those with versus without a PTSD diagnosis at posttreatment. We found no significant differences across conditions in which symptoms were likely to persist posttreatment. Among those without a PTSD diagnosis at posttreatment, sleeping difficulties (63.0%), hypervigilance (47.3%), and nightmares (45.0%) were most likely to persist. Findings indicate no consistent differences in residual symptoms between PE and medications, and shared decision making with patients is encouraged in selecting treatments. Gold standard treatments (e.g., CBT-I) may be warranted for residual symptoms like insomnia.

Indexed as

Disease ProgressionMedication Therapy ManagementVeteransAdultAntidepressive AgentsCombined Modality TherapyFemaleHumansImplosive TherapyMaleMiddle AgedSelective Serotonin Reuptake InhibitorsSertralineStress Disorders, Post-TraumaticTreatment OutcomeAntidepressive AgentsSelective Serotonin Reuptake InhibitorsSertralinePosttraumatic stress disorderPsychopharmacologyPsychotherapyResidual symptomsVeterans

Identifiers

PMID32763541
OpenAlexW3040254881

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.